Clinical diagnostic utility of contrast-enhanced three-dimensional fluid-attenuated inversion recovery for selection of brain biopsy sites in neurosarcoidosis: A case report

被引：1

作者：

Ueno, Tatsuya ^{[1
]}

Desaki, Rie ^{[1
]}

Kon, Tomoya ^{[1
]}

Haga, Rie ^{[1
]}

Nunomura, Jin-ichi ^{[1
]}

Murakami, Kensuke ^{[2
]}

Tomiyama, Masahiko ^{[1
]}

机构：

[1] Aomori Prefectural Cent Hosp, Dept Neurol, 2-1-1 Higashi Tsukurimichi, Aomori 0308551, Japan

[2] Aomori Prefectural Cent Hosp, Dept Neurosurg, Aomori, Japan

来源：

CLINICAL NEUROLOGY AND NEUROSURGERY | 2018年 / 173卷

关键词：

Neurosarcoidosis; Fluid-attenuated inversion recovery; Three-dimensional image; Contrast media; Biopsy;

D O I：

10.1016/j.clineuro.2018.08.006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Neurosarcoidosis is difficult to diagnose, because definite diagnosis requires detailed histology of the central nervous system. Three-dimensional contrast-enhanced fluid-attenuated inversion recovery (CE-FLAIR) is more useful for detecting leptomeningeal lesions compared with 3D CE-Tl weighted imaging. However, the clinical diagnostic utility of 3D CE-FLAIR for neurosarcoidosis is unclear. We describe a case of a 46-year-old Japanese woman who was admitted to our department due to chronic headache with fever and diplopia. Using 3D CE-FLAIR, we performed brain biopsy from right cerebellar lesion. The histological examination revealed typical non-caseating granulomas, indicating neurosarcoidosis. Our findings suggest that 3D CE-FLAIR may detect leptomeningeal lesions that are candidates for biopsy in chronic meningitis undetermined etiology.

引用

页码：101 / 104

页数：4

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